KELLY ELYSSE SCHNEIDER (NPI# 1134490923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134490923 |
| Entity Type | Individual |
| Full Name | KELLY ELYSSE SCHNEIDER |
| Other Name | KELLY ELYSSE HART |
| Credential | LPC |
| Practice Address |
1401 Matthews Township Pkwy Ste 320 Matthews NC 28105 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043841261 |
| Practice Fax Number | 7043843145 |
| Mailing Telephone | 7043841261 |
| Mailing Fax Number | 7043843145 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | A9153 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
9153 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 N 1st St, Suite 1, Albemarle, NC 280012833 | 7049391100 | |
| 1315 E Sunset Dr Ste 201, Monroe, NC 281124333 | 7049668206 | |
| 1190 W Roosevelt Blvd, Monroe, NC 28110 | 7042966200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949634 | Kelly Marie Schneider | Behavior Technician | 842 Pitman Hill Rd, Weldon Spring, MO 63304-7513 | 2020-07-10 |
| 1376686006 | Kelly Schneider | Physician Assistant | 3811 Spring St Ste 301, Racine, WI 53405-1667 | 2007-02-14 |
| 1992317499 | Kelly Marie Schneider | Occupational Therapist | 4900 Ivey Rd Nw Ste 1720, Acworth, GA 30101-4101 | 2020-08-18 |
| 1194218198 | Kelly Marie Schneider | Occupational Therapist | 1 William Carls Dr, Commerce Township, MI 48382-2201 | 2018-06-13 |
| 1679927297 | Kelly Schneider | Social Worker | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2016-04-20 |
| 1316383128 | Kelly Elizabeth Schneider | Physical Therapist | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2013-05-20 |
| 1588959100 | Kelly Johanna Schneider | Pharmacist | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2011-06-10 |
| 1740581982 | Kelly Brackman Schneider | Occupational Therapist | 169 Ashley Ave, Charleston, SC 29425-8905 | 2010-11-04 |
| 1497890347 | Kelly Diane Schneider | Physical Therapist | 1316 S State Highway 16, Fredericksburg, TX 78624-5058 | 2007-02-20 |
| Street Address |
1401 MATTHEWS TOWNSHIP PKWY STE 320 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518175645 | Anita Binder | Specialist | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2007-05-21 |
| 1629434691 | Ivy Lane Ziccarelli | Physician Assistant | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 | 2016-01-06 |
| 1669854048 | Kris Ruangchotvit | Psychiatry & Neurology | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 | 2015-06-23 |
| 1790103547 | Siera Marie Kirkland | Psychiatry & Neurology | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2014-03-30 |
| 1619317583 | Jessica Feldman | Social Worker | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2013-06-25 |
| 1245554617 | Bryan Franklin Armstrong | Counselor | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 | 2010-03-15 |
| 1346562147 | Kimberly Renee Gordon | Physician Assistant | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2010-02-20 |
| 1285827402 | Kalpana Shanmugam | Psychiatry & Neurology | 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848068 | Lawrence Craig Loughery | Counselor | 1126 Sam Newell Rd Ste Candd, Matthews, NC 28105-5083 | 2019-06-01 |
| 1053879320 | William Keese | Counselor | 3617 Weddington Ridge Ln, Matthews, NC 28105-7704 | 2019-03-06 |
| 1831680289 | Brandon Lee Allison | Counselor | 6750 St. Peters Lane, Suite 300, Matthews, NC 28105-8458 | 2018-05-22 |
| 1548780679 | Cynthia Lea Morris | Counselor | 1126 Sam Newell Rd Ste A, Matthews, NC 28105-5084 | 2017-06-20 |
| 1457808289 | Samantha Lashawn Mcgirt | Counselor | 5052 Parkview Way, Matthews, NC 28104-6980 | 2016-09-09 |
| 1477921708 | Shawn Willard | Counselor | 10801 Monroe Rd Ste A, Matthews, NC 28105-8336 | 2015-09-03 |
| 1013395300 | South Charlotte Family Counseling | Counselor | 1214 Brightmoor Drive, Matthews, NC 28105 | 2015-05-07 |
| 1003258880 | Allison Lindsay Becker | Counselor | 1254 Mann Dr Ste 100, Matthews, NC 28105-5545 | 2013-07-22 |
| 1245594720 | Debbie Ann Breen | Counselor | 1214 Brightmoor Dr, Matthews, NC 28105-8817 | 2012-06-28 |
| 1649503269 | Basic Concepts - LLC | Counselor | 9930 Treeside Ln, Matthews, NC 28105-7221 | 2009-09-14 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.